Health Reform Policy to Practice : Oregon's Path to a Sustainable Health System: A Study in Innovation /
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| Imprint: | San Diego : Academic Press, 2017. |
|---|---|
| Description: | 1 online resource (363 pages) |
| Language: | English |
| Subject: | |
| Format: | E-Resource Book |
| URL for this record: | http://pi.lib.uchicago.edu/1001/cat/bib/11614198 |
Table of Contents:
- Front Cover; Health Reform Policy to Practice; Copyright Page; Contents; List of Contributors; Acknowledgments; Introduction; I. Origins of Oregon Health Reform; 1 The Oregon Narrative: History of Health Reform in Oregon; 1980s-Statewide Dialog, Mobilization, and Action; Hard Choices and the Death of a Boy; Goal Setting and the Oregon Health Plan; Oregon's Controversial Prioritized List of Services; Other Kinds of Insurance Expansion; Employer Mandate; The Oregon Medical Insurance Pool; Small Employer Health Insurance; 1990s-OHP Implementation-Challenges and Benefits.
- Explicit Versus Implicit RationingOregon Health Plan Goes Live; Managed Care and Cost Containment; The Family Health Insurance Assistance Program; 2000s-Policy Refinement and the Quest for Sustainability; Creation of OHP2; The Surprising Impact of Cost-Sharing and Premium Requirements; Expanded Access to OHP Standard; Covering More Children: The Healthy Kids Initiative; 2010-12-The Perfect Storm for Delivery System Reform; The Evolution of a Burning Platform; A Gifted Leader Takes Charge; Immediate Budget Implications; Early Political Discussions and Negotiations; Oregon-Style Collaboration.
- CMS Waiver Approval and FundingConclusion; References; 2 State-Level Design: The Coordinated Care Model; Background; The Fourth Path-Changing How Health Care Is Delivered; Elements of the Coordinated Care Model; Local Accountability and Governance; Global Budget With Per Capita Growth; Integrated and Coordinated Care; At Risk for Quality (Metrics); Flexibility; Implementation: Oregon's 1115 Waiver and Supports; Supports for Change; Progress to Date; Lessons Learned; References; 3 The Politics of Creating the Coordinated Care Organizations; Introduction; Background; Oregon Legislative Politics.
- Federal PoliticsLessons Learned; 4 Strategic Communication and Engaging the Public; Introduction; #1: Meet People Where They Are; Messaging for Where People Are; Message Strategies; Keep Language Simple and Relevant; Focus on People, Not Systems; #2: Show What's Possible-The Story Bank; #3: Be Disciplined and Tenacious; Special Note About Communications With Oregon Health Plan Clients; Communications Channels; Mass Media-Earned Communications; Owned Communications; Get Feedback and Communicate About Communicating; Agency Partnerships; Internal Communications to Agency Staff; Lessons Learned.
- II. Implementation of the Coordinated Care Model: Key Components5 Delivering Health Care Through the Coordinated Care Organization Model; The CCO Background Story; The Regional Health Authority Concept; Considering Other Delivery Models; The Emergence of the CCO Model; Risk and Funding Arrangements; Service Areas; Legislation Drives CCO Development; CCO Successes and Failures; Conclusion; 6 Primary Care as a Cornerstone of Reform; Policy Drivers and Landscape; A History of Primary Care Reform; The Coordinated Care Model and PCPCH; From Legislation to Practice.